| NPI | 1588987283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE MARIE BASCHAROW Administrator 248-881-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: MI 00099158) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401010253) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2011-04-28 |